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Brief Office Visit (Minimal, Established Patient)

Rhode Island rates for HCPCS 99211

A very short, simple office visit that may not require an in-depth evaluation by the physician, often handled by a nurse or other clinical staff member under the doctor's supervision. It's typically used for quick tasks like a blood pressure check, a simple medication follow-up, or a brief wound check. It's the most minimal visit level for a patient the practice already knows.

Rates data updated July 2026.

How much does Brief Office Visit (Minimal, Established Patient) cost?

$21.38

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $20.89 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$21.38$12.88 to $25.70
FacilityA hospital or hospital-owned outpatient department$20.89$20.89 to $24.55

How much rates vary

Facilitymedian $21 · 10th to 90th $10 to $51Professionalmedian $21 · 10th to 90th $8 to $31
$10$20$50$100$200facility $21professional $21

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$20.89
Typical High
$51.29
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$218.78
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$21.38
Typical High
$30.20
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$23.99
Median
$64.57
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$25.70
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$19.05
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$22.39
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$21.88
Typical High
$36.31

Where Rhode Island sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Rhode Island· 15th of 51

$21.38

CA $24.55AL $17.38

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.